Organization
OPEN DOOR RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ROYAL LADC (DIRECTOR)
(207) 667-3210
Entity
Organization
Contact information
Practice address
8 OLD MILL ROAD, ELLSWORTH, ME 04605
(207) 667-3210
(207) 667-3133
Mailing address
PO BOX 958, ELLSWORTH, ME 04605-0958
(207) 667-3210
(207) 667-3133
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
265381
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4336677199
MAINECARE
ME
Enumeration date
03/17/2009
Last updated
03/17/2009
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